Individual provider Active NPI

Christian Joel Cintron Rodriguez, PSYD

  • Clinical Psychologist
  • Juana Diaz, PR
National Provider Identifier
1336970490
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7929 Issued in PR
Practice address
HC 5 Box 13835
Juana Diaz, PR 00795-9331
Phone
(939) 334-0627
NPI assigned
Aug 12, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7929 PR Primary

Addresses

Primary practice location

HC 5 Box 13835
Juana Diaz, PR 00795-9331

Mailing address

HC 5 Box 13835
Juana Diaz, PR 00795-9331
Phone (939) 334-0627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023004755 PR Practitioner - Clinical Psychologist 7517455124 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

291 Ave Los Caobos
Ponce, PR 00715-2105
Phone (939) 334-0627

Barrio Guayabal Sector Lajitas
Juana Diaz, PR 00795-9518

HC 5 Box
Suite 13835
Juana Diaz, PR 00795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7929PRMDGeriatric Medicine (Family Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1336970490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 13835",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959331",
            "telephone_number": "939-334-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 13835",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959331",
            "telephone_number": "939-334-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON RODRIGUEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.